No Cath? No Problem. webinar with Dr. Brian Lima
Автор: Compumed
Загружено: 2025-12-10
Просмотров: 66
A large proportion of potential DCD heart donors are never even offered—not because of true coronary artery disease, but because of the presumption that a cath is required to rule it out. Modern cardiac CT offers a practical, rapid, and informative alternative that can provide meaningful insights into coronary anatomy and overall heart viability
In this provocative session, CompuMed expert advisor Dr. Brian Lima—a national leader in DCD heart recovery, NRP, and AI-enabled donor heart evaluation— shares how his team at Vanderbilt has successfully incorporated CT into donor evaluation. He breaks down when, why, and how cardiac CT can be applied thoughtfully, and unlock more transplantable hearts while maintaining rigorous recipient safety.
00:00 Intro
01:29 Vanderbilt program overview
03:23 Unoffered donor hearts
04:31 DCD heart transplant trends
05:45 Donor heart selection guidelines
06:59 First Intraoperative Cardiac Catheterizaion during NPR
08:43 Why do we cath? - Cardiac Allograft Vasculopathy CAV
10:14 Coronary CT Angiography is a safe alternative
12:26 CT as a screening tool for Coronary Artery Disease CAD
14:20 CT assessing Coronary Artery Calcium CAC
21:00 Vanderbilt experience: donor coronary by CT vs invasive angio ICA
26:56 Pragmatic CT-first adoption pathway for OPOs
29:50 Take-home messages
31:07 Q&A
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